The Development of the Relate-Know-Respond Model to Enhance Family-Centred Care

Lizz Carrington (), Leigh Hale, Claire Freeman and Meredith Perry
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Lizz Carrington: Centre of Health Activity and Rehabilitation Research, School of Physiotherapy, University of Otago, Dunedin 9012, New Zealand
Leigh Hale: Centre of Health Activity and Rehabilitation Research, School of Physiotherapy, University of Otago, Dunedin 9012, New Zealand
Claire Freeman: School of Architecture, Victoria University of Wellington Te Herenga Waka, Wellington 6011, New Zealand
Meredith Perry: Centre of Health Activity and Rehabilitation Research, School of Physiotherapy, University of Otago, Dunedin 9012, New Zealand

Disabilities, 2025, vol. 5, issue 3, 1-32

Abstract: Disabled children often experience limited access to Family-Centred Care and social participation, while their families face significant caregiving responsibilities. Healthcare providers have a vital role in providing paediatric rehabilitation and support, yet access to and quality of services remain a key concern. To improve quality healthcare delivery, it is essential to understand stakeholder experiences of Family-Centred Care. Using an interpretive paradigm, semi-structured qualitative interviews and focus groups were conducted with paediatric healthcare service providers and service users, followed by reflexive thematic analysis. A key theme of ‘relationships enhance knowingness’ was identified. This theme highlights relationships as critical in meaningful service delivery and emphasises that mutual understanding, or knowingness, between service providers and service users is essential for success. Both service providers and service users identified subthemes related to ‘individual characteristics’ and ‘perceptions of families’, shaped by their differing positions within the care relationship. A distinct subtheme concerning ‘experiences of therapy’ was described by service users but was absent from service provider accounts. Fluctuating family capacity was identified as an influential factor affecting service engagement. A new service delivery model is presented to guide providers in delivering tailored, Family-Centred responsive Care.

Keywords: paediatrics; healthcare; Family-Centred Care; play (search for similar items in EconPapers)
JEL-codes: I (search for similar items in EconPapers)
Date: 2025
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